Dr Charisse Eudella Marshall, DSW | |
25 W 132nd St Apt 10m, New York, NY 10037-3205 | |
(917) 689-6795 | |
Not Available |
Full Name | Dr Charisse Eudella Marshall |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 25 W 132nd St Apt 10m, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124791017 | NPI | - | NPPES |
824142206 | Other | NY | NEW YORK STATE DRIVERS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 062663 (New York) | Primary |
Entity Name | Brooklyn Plaza Medical Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336113398 PECOS PAC ID: 7113961178 Enrollment ID: O20170503000192 |
Mailing Address | Practice Location Address |
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Dr Charisse Eudella Marshall, DSW 25 W 132nd St Apt 10m, New York, NY 10037-3205 Ph: (917) 689-6795 | Dr Charisse Eudella Marshall, DSW 25 W 132nd St Apt 10m, New York, NY 10037-3205 Ph: (917) 689-6795 |
Mr. Robert Diamond, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 271 Madison Ave Ste 1102, New York, NY 10016 Phone: 212-740-3689 | |
Dr. Carole Avon Patterson, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 W 12th St, Reiss 4th Floor, New York, NY 10011 Phone: 212-604-8441 | |
Ms. Maureen Theresa Sheehan, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 853 Broadway, Suite 1201, New York, NY 10003 Phone: 646-266-8712 | |
Ms. Debra Roth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80 University Pl, 2nd Floor, New York, NY 10003 Phone: 212-352-8282 | |
Ms. Antonia Depalma-brandt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 156 5th Ave, Suite 508, New York, NY 10010 Phone: 212-714-4539 | |
Ms. Alvita Liktorius, M.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 5th Ave, Ground Floor Suite, New York, NY 10011 Phone: 212-529-3768 | |
Jocelyn Reeve Childs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1841 Broadway, 4th Fl, New York, NY 10023 Phone: 212-333-3444 |